1-04262025scan (5).pdf

This document is an attachment from the Arizona Department of Transportation regarding a Forced Labor of Ethnic Uyghurs Ban certification, which is a compliance document for state contracts. The form pertains to Arizona Revised Statutes (A.R.S.) § 35-394, which prohibits public entities from entering or renewing contracts with companies that use forced labor of ethnic Uyghurs in the People's Republic of China. The specific contractor identified is Anderson Ford Kingman, located in Kingman, Arizona.

The document requires contractors to certify that they do not use forced labor of ethnic Uyghurs or goods/services produced by such labor. In this instance, the contractor has been classified as an "Exempt Contractor" due to meeting specific criteria, such as being a small business (implied by the exemption checkbox). The form provides options for contractors to declare their status regarding forced labor usage, with the signed document serving as an official certification for contract eligibility with the State of Arizona. The form was signed by an authorized representative with the title of Parts & Service Director, indicating compliance with the state's labor practice requirements.